(1) The service provider must ensure staffing as follows:
(a) A chemical dependency professional (CDP), or a CDP trainee under supervision of a CDP, to assess, counsel, and attempt to motivate each patient for referral;
(b) Other staff as necessary to provide services needed by each patient;
(c) All personnel providing patient care, except licensed staff and CDPs, must complete a minimum of forty hours of documented training before assignment of patient care duties. The personnel training must include:
(i) Chemical dependency;
(ii) HIV/AIDS and hepatitis B education;
(iii) TB prevention and control; and
(iv) Detox screening, admission, and signs of trauma.
(d) All personnel providing patient care must have current training in:
(i) Cardio-pulmonary resuscitation (CPR); and
(ii) First aid.
(2) The service provider must ensure detoxification services include:
(a) A staff member who demonstrates knowledge about addiction, and is skilled in observation and eliciting information, will perform a screening of each person prior to admission;
(b) Counseling of each patient by a CDP, or CDP trainee under supervision of a CDP, at least once:
(i) Regarding the patient's chemical dependency; and
(ii) Attempting to motivate each person to accept referral into a continuum of care for chemical dependency treatment.
(c) Sleeping arrangements that permit observation of patients;
(d) Separate sleeping rooms for youth and adults; and
(e) Referral of each patient to other appropriate treatment services.
(3) The service provider must ensure detoxification patient records include:
(a) Demographic information;
(b) Documentation the patient was informed of federal confidentiality requirements and received a copy of the patient notice required under 42 C.F.R., Part 2;
(c) Documentation the patient was informed of treatment service rules, translated when needed, signed and dated by the patient before beginning treatment;
(d) Voluntary consent to treatment signed and dated by the patient, parent or legal guardian, except as authorized by law for protective custody and involuntary treatment;
(e) Documentation the patient receive counselor disclosure information, acknowledged by the provider and patient by signature and date;
(f) Documentation the patient received the HIV/AIDS brief risk intervention;
(g) Progress notes each shift and as events occur;
(h) Medication records, if applicable;
(i) Laboratory reports, if applicable;
(j) Properly completed authorizations for release of information; and
(k) The discharge summary, which includes the patient's physical condition.
[Statutory Authority: RCW 70.96A.090, chapter 70.96A RCW, 2001 c 242, 42 C.F.R. Part 8. 03-20-020, § 388-805-410, filed 9/23/03, effective 10/25/03. Statutory Authority: RCW 70.96A.090 and chapter 70.96A RCW. 00-23-107, § 388-805-410, filed 11/21/00, effective 1/1/01.]